Nurse Practitioner or Physician Assistant - Adult Congenital Heart Disease and Heart Failure

We are searching for a Nurse Practitioner or Physician Assistant who is motivated to work in a fast paced setting!

The Advanced Practice Provider will provide inpatient and outpatient care for patients with heart failure, cardiomyopathy, adult congenital heart disease (ACHD), and ventricular assist devices (VADs).

Outpatient responsibilities include new patient evaluations, routine ACHD heart failure follow-up, CardioMEMS management, optimization of medical therapy and lifestyle interventions, and coordination of referrals, diagnostic testing, and clinic visits.

The APP will help improve patient access, continuity of care, and program growth. Inpatient responsibilities include daily rounding on patients with active heart failure and/or VADs, multidisciplinary care coordination, and support of LVAD education and appropriate billing practices.

Responsibilities

Nurse Practitioner

• Daily uses advanced practice knowledge and skills to systematically collect and evaluate health assessment data and manage patients' caseload. Obtains a comprehensive health, developmental, and family history on patients as documented in the patient’s medical record.
• Assess the patient’s physical status through the physical examination as documented in the patient’s medical record.
• Differentiates between normal and abnormal findings as documented in the patient’s medical record.
• Performs or recommends age-appropriate health screening procedures as documented in the patient’s medical record.
• Provides health maintenance and health promotion for children of all ages as documented in the patient’s medical record.
• Performs and evaluates diagnostic procedures and laboratory tests as documented in the patient’s medical record.
• Analyzes multiple sources of data and formulates a differential diagnosis in collaboration with physicians as demonstrated in the written documentation.
• Follows established delegation protocols to manage specific patient problems. Formulates a plan of care in collaboration with other health care professionals and documents the plan in the patient’s medical record.
• Accurately evaluates patient’s responses to interventions and modifies the plan of care demonstrated by written documentation.
• Accurately presents and documents the data, impression, and plan of care on all patients as demonstrated in the written documentation.
• Consistently demonstrates effective communication skills and works to eliminate communication barriers.
• Collaborates effectively with other members of the health care disciplines to provide comprehensive care to patients.
• Utilizes effective and appropriate interviewing skills to elicit information from patients and/or family and collaborates with them in developing the care plan.
• Requests consultation and/or initiates referral for specialized care as appropriate. Communicates with health care team members the comprehensive assessment, impression, and plan of care.
• Consistently serves as an educational resource for the patient and family, community, and other health care professionals.
• Consistently applies new knowledge relevant to pediatric nursing to clinical practice.
• Demonstrates current professional, managerial, and/or technical knowledge and skills. Maintains knowledge base by reading professional literature, attending staff development, and continuing education programs annually.

Participates in department and hospital committees, which promote quality nursing, care as assigned.

• Demonstrates NP role behaviors consistent with the development of advanced nursing practice.
• Participates in departmental Quality Improvement program annually.

As part of our commitment to maintaining a safe and healthy workplace, all successful candidates will be required to undergo respiratory fit testing in compliance with occupational health and safety standards.

Physician Assistant

• Provide medical services that are within the education and training of the Physician Assistant within the scope of practice and delegation of the supervising physician
• Obtain a comprehensive health, developmental, and family history on patients and documents appropriately in the patient’s medical record
• Differentiate between normal and abnormal findings and documents appropriately in the patient’s medical record
• Prescribe or administer medications as delegated by the supervising physician and documents in medical records
• Administer appropriate vaccines as observed by physicians and documented in medical records
• Order diagnostic tests consistent with differential diagnoses derived from gathered data as evidenced by types of tests ordered
• Foster collaboration with the interdisciplinary team to improve health care
• Establish a relationship with the patient/family characterized by mutual respect, empathy, and collaboration As part of our commitment to maintaining a safe and healthy workplace, all successful candidates will be required to undergo respiratory fit testing in compliance with occupational health and safety standards.

Qualifications

Nurse Practitioner

• Master’s degree in nursing required
• RN license from the Texas Board of Nursing or Nursing Licensure Compact required

• FNP, NNP, PNP-BC, WHNP-BC, CPNP-AC, or AG-ACNP from the Texas Board of Nursing required (FNP or AG-ACNP strongly preferred)

Physician Assistant

• Required Bachelor's Degree

• PA -Cert-Physician Assistant by the Texas Medical Board

Since 1954, Texas Children’s has been leading the charge in patient care, education and research to accelerate health care for children and women around the world. When you love what you do, it truly shows in the smiles of our patient families, employees and our numerous accolades such as being consistently ranked as the best children’s hospital in Texas, and among the top in the nation by U.S. News & World Report as well as recognition from Houston Business Journal as one of this city’s Best Places to Work for ten consecutive years.

Texas Children’s comprehensive health care network includes our primary hospital in the Texas Medical Center with expertise in over 40 pediatric subspecialties; the Jan and Dan Duncan Neurological Research Institute (NRI); the Feigin Tower for pediatric research; Texas Children’s Pavilion for Women, a comprehensive obstetrics/gynecology facility focusing on high-risk births; Texas Children’s Hospital West Campus, a community hospital in suburban West Houston; Texas Children’s Hospital The Woodlands, the first hospital devoted to children’s care for communities north of Houston; and Texas Children’s Hospital North Austin, the new state-of-the-art facility providing world-class pediatric and maternal care to Austin and Central Texas families.

We have also created Texas Children’s Health Plan, the nation’s first HMO focused on children; Texas Children’s Pediatrics, the largest pediatric primary care network in the country; Texas Children’s Urgent Care clinics that specialize in after-hours care tailored specifically for children; and a global health program that is channeling care to children and women all over the world.

Texas Children’s Hospital is affiliated with Baylor College of Medicine, one of the largest, most diverse and successful pediatric programs in the nation.

To join our community of 15,000+ dedicated team members, visit texaschildrenspeople.org for career opportunities.

Texas Children’s is proud to be an equal opportunity employer. All applicants and employees are considered and evaluated for positions at Texas Children's without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, gender identity, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.